Town Square Dental Pllc | |
502 8th St Rupert ID 83350-1417 | |
(208) 436-4747 | |
(208) 436-9683 |
Full Name | Town Square Dental Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 502 8th St, Rupert, Idaho |
Authorized Official Name and Position | Nathan A Catmull (OWNER) |
Authorized Official Contact | 2084364747 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Town Square Dental Pllc 502 8th St Rupert ID 83350-1417 Ph: (208) 436-4747 | Town Square Dental Pllc 502 8th St Rupert ID 83350-1417 Ph: (208) 436-4747 |
NPI Number | 1124534433 |
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Provider Enumeration Date | 12/21/2017 |
Last Update Date | 09/27/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124534433 | NPI | - | NPPES |
28443 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D4143 (Idaho) | Primary |
Family Health Services Corporation Dental Clinic Medicare: Medicare Enrolled Practice Location: 402 6th St, Rupert, ID 83350 Phone: 208-650-7941 Fax: 208-436-0735 | |
Magic Valley Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 W 100 S, Rupert, ID 83350 Phone: 208-436-4532 | |
John A Simpson Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 8th St, Rupert, ID 83350 Phone: 208-436-4747 Fax: 208-436-9683 | |
Doctors Garrard And Wayment Dentists Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Scott Ave, Ste #3, Rupert, ID 83350 Phone: 208-436-6406 Fax: 208-436-9678 |